Alicia Anne Martin, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115021 Issued in MI

Practice address

1611 Oak Ave
Muskegon, MI 49442-2468

Phone

(231) 767-1921

Fax

(231) 767-0527

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychiatric Physicians, PLLC

  • Psychiatry Physician
  • Muskegon, MI
  • NPI 1982824512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1306407069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15773 KITCHEL LN",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172928",
            "telephone_number": "616-634-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 OAK AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494422468",
            "telephone_number": "231-767-1921",
            "fax_number": "231-767-0527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4461 Grand Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494415548",
            "country_code": "US",
            "telephone_number": "231-798-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALICIA",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Marshak
• Barrett Marshall, DDS
• Theresa Ellen Marshall, LMSW
• Zachary D Marsman
• Martell & Company Home Care and Assistance
• Amanda Martin, PHARMD
• Elizabeth M Martin
• Leah Kathryn Martin, PA-C
• Michael Martin, PA
• Michelle Ann Martin, MA LLP

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.